A list of the most recent deficiencies for Saint Mary Home. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-16 | 2022-03-28 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-02-16 | 2022-03-28 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-02-16 | 2022-03-28 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-02-16 | 2022-03-28 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-02-16 | 2022-03-28 | Y |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2022-02-16 | 2022-03-28 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-02-16 | 2022-03-28 | Y |
| Establish policies and procedures including evacuation. | Fire Safety | 2022-01-10 | 2022-02-24 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-01-10 | 2022-02-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-01-10 | 2022-02-24 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-01-10 | 2022-02-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-01-10 | 2022-02-24 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-07-06 | 2021-08-09 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-06-01 | 2021-07-09 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-08-01 | 2019-09-04 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-08-01 | 2019-09-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-01 | 2019-09-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-08-01 | 2019-09-04 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2019-08-01 | 2019-09-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-25 | 2019-08-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-07-25 | 2019-08-30 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2019-07-25 | 2019-08-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-25 | 2019-08-30 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2018-08-23 | 2018-10-01 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2018-08-23 | 2018-10-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-23 | 2018-10-01 | N |
| Meet requirements for the installation and maintenance of medical gas and medical vacuum systems. | Fire Safety | 2018-08-20 | 2018-09-21 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2018-08-20 | 2018-09-21 | N |
